Individual
DR. MARY E GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHIROPRACTOR
Contact information
Practice address
5311 GREEN ACRE RD, HOUTZDALE, PA 16651-9428
(814) 378-8582
(814) 378-8606
Mailing address
5311 GREEN ACRE RD, HOUTZDALE, PA 16651-9428
(814) 378-8582
(814) 378-8606
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC001617L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T72830
—
PA
Enumeration date
03/21/2006
Last updated
07/08/2007
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